| Entity Name: | ANXIETY THERAPIST FL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Dec 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Dec 2021 (3 years ago) |
| Document Number: | L20000378160 |
| FEI/EIN Number | 85-4280028 |
| Address: | 1317 EDGEWATER DRIVE #2768, ORLANDO, FL 32804 |
| Mail Address: | 1317 EDGEWATER DRIVE #2768, ORLANDO, FL 32804 |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417779471 | 2024-10-30 | 2024-10-30 | 1317 EDGEWATER DR # 2768, ORLANDO, FL, 328046350, US | 1003 S WASHINGTON AVE, TITUSVILLE, FL, 327808404, US | |||||||||||||
|
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| Phone | +1 407-768-3729 |
Authorized person
| Name | ALYSSA BASS |
| Role | OWNER |
| Phone | 4077683729 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER, KELLY | Agent | 1317 EDGEWATER DRIVE #2768, ORLANDO, FL 32804 |
| Name | Role | Address |
|---|---|---|
| BASS, ALYSSA | Authorized Member | 1317 EDGEWATER DRIVE, #2768 ORLANDO, FL 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-12-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-12-27 | MILLER, KELLY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| LC AMENDMENT | 2020-12-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-04-09 |
| REINSTATEMENT | 2021-12-27 |
| LC Amendment | 2020-12-21 |
| Florida Limited Liability | 2020-12-10 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
